New perspectives on the toxicity of etoposide.

Abstract:

:Etoposide has been used in the treatment of a wide variety of neoplasms, including small cell lung cancer. Kaposi's sarcoma, testicular cancer, acute leukemia, and lymphoma. Its current therapeutic use is limited by myelosuppression, particularly neutropenia. Pharmacodynamic studies of etoposide show that this toxicity can be modeled using a modified Hill equation, and that the dose intensity of etoposide can be successfully increased by adaptive control using this model. Significant influences on the degree of myelosuppression include pretreatment leukocyte count, performance status, extent of prior erythrocyte transfusions, and serum albumin level. In the past 5 years, interest has developed in a distinct subset of acute nonlymphocytic leukemia that is associated with prior exposure to etoposide. This syndrome has been described in several studies, and is characterized by the lack of a preleukemic phase, M4 or M5 morphology, and distinct translocations involving the chromosome 11q23 region.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Kobayashi K,Ratain MJ

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

78-83

issue

6 Suppl 13

eissn

0093-7754

issn

1532-8708

pii

0093-7754(92)90289-D

journal_volume

19

pub_type

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